We would like you to join our family of volunteers    

• Could you use a tax deduction every year?    
• Would you like to train for a new career and get all the training FREE?
• Would you like to earn college credits from the University of Maryland?    
• Would you like to obtain a college degree, any degree and have the State of Maryland pay for it?

Current and ongoing Needs    

• We have a critical need for Emergency Medical Technicians (EMTs) - FREE Training    
• Ambulance Aides (Assists EMTs on calls) - FREE Training    
• Firefighters - FREE Training    
• Drivers - FREE Training    
• Boat Operators  - FREE Training    
• Auxiliary Members 

Fill out the form below and someone from the membership committee will reach out to you. 

A false or dishonest answer to any of question in this application may be grounds for not accepting your application or dismissal after acceptance. All statements are subject to investigation including public records, employers, and personal reference.

Indicates Required Field

Todays Date/Time:		03/22/2023 1119
Membership Type:		Select Below Operational Cadet Administrative
First Name:
Last Name:
MI:
Date of Birth:
Primary Phone:
Address (street, city, state, zip):
Email Address:
Previously a member of a fire department?:		Yes No
If you checked yes above, please list Department Name, City, and State and include any relevant experience and training:
Have you ever been convicted of a crime:		Yes No
If you answered yes above, please explain:
I certify that all of the statements in this application are true, complete, and correct to the best of my knowledge and are made in good faith:		I agree